With support from the Pan American Health Organization / World Health Organization (PAHO / WHO) and other partners, vaccination teams fanned out across the two departments starting Nov. 8, aiming to reduce the burden of cholera cases by immunizing people in 16 different communes where cholera cases had been reported and where water and sanitation systems were damaged.

Ministry of Health early reports show that vaccination coverage reached 94 percent in Grande Anse and 90 percent in Sud Department, but the communes of Moron (Grande Anse), Port-a-Piment, and Chardonnieres (Sud) had lower than average coverage. In some areas teams were hampered by difficult access as roads were cut by the hurricane, and populations were displaced, said PAHO-WHO Representative Dr. Jean-Luc Poncelet. Ministry of Health officials are now collecting data and consolidating results, while looking for pockets of unvaccinated people in the communes.

Epidemiologists and immunization experts were mobilized to support the campaign, which was carried out with 1 million doses of oral cholera vaccine provided by GAVI through the Global Task Force for Cholera Control. The International Medical Corps (IMC), CDC, UNICEF, WFP, PIH, Gheskio, and other vaccination partners supported the Ministry in the campaign, with social mobilization and logistics, including cold chain to keep vaccines potent, and transport and support for vaccination brigades…

Since Hurricane Matthew struck Haiti October 4, more than 5,800 suspected cholera cases have been reported by the Ministry of Health, while the population in need of humanitarian assistance remains at 1.4 million, and more than 175,000 people are still in shelters, according to PAHO’s latest situation report. Increases in suspected malaria cases have been observed in Grand Ánse and Sud both Departments, and Haiti’s National program for Malaria Control began fumigation and destruction of mosquito breeding sites.

Haiti still needs humanitarian assistance for rural areas, rehabilitation of health facilities, household access to chlorinated water and community health workers especially for areas with non-functional facilities, Poncelet said.

.

WHO Grade 3 Emergencies[to 26 November 2106]
Iraq –
:: WHO scales up trauma care services for injured people from Mosul, Iraq
23 November 2016 – As military operations into Mosul continue, WHO is working with national health authorities to ensure that people with war-related trauma injuries have access to live-saving medical care. WHO anticipates that approximately 40 000 civilians will require care for trauma injuries as a result of Mosul military operations.

The Syrian Arab Republic
:: WHO supplies prosthetic devices for Syrians injured by conflict 25 November 2016
:: Statements – Eastern Aleppo without any hospitals for more than 250,000 residents
20 November 2016 – More than 250,000 men, women, and children living in Eastern Aleppo are now without access to hospital care following attacks on the remaining hospitals over the last week. According to reports to WHO from the Organization’s partners in Syria, there are currently no hospitals functioning in the besieged area of the city.

Nigeria – No new announcements identified.
South Sudan – No new announcements identified.
Yemen – No new announcements identified.

.

WHO Grade 2 Emergencies[to 26 November 2106]
Cameroon – No new announcements identified.
Central African Republic – No new announcements identified.
Democratic Republic of the Congo – No new announcements identified.
Ethiopia – No new announcements identified.
Libya – No new announcements identified.
Myanmar – No new announcements identified.
Niger – No new announcements identified.
Ukraine – No new announcements identified.

.

UN OCHA – L3 Emergencies
The UN and its humanitarian partners are currently responding to three ‘L3’ emergencies. This is the global humanitarian system’s classification for the response to the most severe, large-scale humanitarian crises.
Iraq –
:: Iraq: Mosul Humanitarian Response Situation Report #8 (14-20 November 2016)
:: Press Releases – Iraq Humanitarian Crisis, 25 November 2016
IN NUMBERS
10m – PEOPLE IN NEED OF SOME FORM OF HUMANITARIAN ASSISTANCE
4m – PEOPLE HAVE BEEN INTERNALLY DISPLACED SINCE JANUARY 2014
1.7m – PEOPLE ARE ESTIMATED TO LIVE IN AREAS OUTSIDE GOVERNMENT CONTROL IN NORTHERN AND WESTERN IRAQ; MANY ARE LIKELY TO BE VULNERABLE
8m – PEOPLE NEED PROTECTION ASSISTANCE
480,000 – PEOPLE HAVE BEEN NEWLY DISPLACED IN 2016
920,000 – DISPLACED PEOPLE ARE HOSTED IN THE KURDISTAN REGION OF IRAQ
$861m – REQUESTED TO SUPPORT 7.3 MILLION VULNERABLE IRAQIS
70% – OF THE REQUESTED FUNDING HAS BEEN RECEIVED
$284m – REQUESTED TO SCALE-UP PREPAREDNESS EFFORTS AHEAD OF THE EXPECTED MILITARY CAMPAIGN TO RETAKE MOSUL
73% – OF THE REQUIRED AMOUNT FOR THE MOSUL FLASH APPEAL HAS BEEN RECEIVED